TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
Holistic Health Assessment- Respiratory
Questions and Correct Answers the
Latest Update and Recommended
Version
Position for anterior chest assessment
✓ Client sitting or lying on their back, gown may be removed or put on backward for
modesty
What to assess during anterior chest inspection
✓ Overall shape, skin color, respiratory effort and rate
How should the client be positioned for a posterior chest assessment?
✓ Sitting up with the back of the gown open or shirt off
What should the nurse observe during a posterior chest assessment?
✓ Shape and movement of the posterior thorax while the client breathes deeply
Where are tracheal breath sounds heard?
✓ Over the trachea of the anterior neck
Where are bronchial breath sounds heard?
✓ To the right and left of the trachea and larynx, auscultated over the anterior chest only
Where are bronchovesicular breath sounds heard?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ Over the right and left major bronchi, between the first and second intercostal space to
the left and right of the sternum when auscultating the anterior chest, and between the
scapulae and the vertebral column when auscultating the posterior chest wall
Where are vesicular breath sounds auscultated?
✓ Over the anterior and posterior chest wall, heard over a large percentage of the bilateral
lung fields from the clavicle to the lower rib cage
What is clubbing nails and what does it indicate?
✓ Clubbing of the ends of the fingers or toes and a ruddy or darkish red appearance to the
lower extremities are manifestations of long-term hypoxia, low oxygen levels to the
tissues.
What is cyanosis and how does it manifest in respiratory distress?
✓ In respiratory distress, the skin can be cool and damp, as well as pale or blue around the
lips, nail beds, and mucous membranes.
What does pallor indicate in thorax and lung assessment?
✓ General pallor can mean anemia, which can result in decreased oxygenation levels and
give darker skin an ashen appearance. The client may have dyspnea (shortness of breath)
and orthopnea (difficulty breathing when lying supine).
What is a barrel chest and what conditions are associated with it?
✓ A barrel chest is caused from hyperinflation of the lungs due to a disease process called
chronic obstructive pulmonary disease (COPD) and can also be associated with the typical
aging process.
What is funnel chest and how does it present?
✓ Funnel chest, or pectus excavatum, is when there is a marked sunken sternum and costal
cartilage. This condition usually begins at the second intercostal space.
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
Holistic Health Assessment- Respiratory
Questions and Correct Answers the
Latest Update and Recommended
Version
Position for anterior chest assessment
✓ Client sitting or lying on their back, gown may be removed or put on backward for
modesty
What to assess during anterior chest inspection
✓ Overall shape, skin color, respiratory effort and rate
How should the client be positioned for a posterior chest assessment?
✓ Sitting up with the back of the gown open or shirt off
What should the nurse observe during a posterior chest assessment?
✓ Shape and movement of the posterior thorax while the client breathes deeply
Where are tracheal breath sounds heard?
✓ Over the trachea of the anterior neck
Where are bronchial breath sounds heard?
✓ To the right and left of the trachea and larynx, auscultated over the anterior chest only
Where are bronchovesicular breath sounds heard?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ Over the right and left major bronchi, between the first and second intercostal space to
the left and right of the sternum when auscultating the anterior chest, and between the
scapulae and the vertebral column when auscultating the posterior chest wall
Where are vesicular breath sounds auscultated?
✓ Over the anterior and posterior chest wall, heard over a large percentage of the bilateral
lung fields from the clavicle to the lower rib cage
What is clubbing nails and what does it indicate?
✓ Clubbing of the ends of the fingers or toes and a ruddy or darkish red appearance to the
lower extremities are manifestations of long-term hypoxia, low oxygen levels to the
tissues.
What is cyanosis and how does it manifest in respiratory distress?
✓ In respiratory distress, the skin can be cool and damp, as well as pale or blue around the
lips, nail beds, and mucous membranes.
What does pallor indicate in thorax and lung assessment?
✓ General pallor can mean anemia, which can result in decreased oxygenation levels and
give darker skin an ashen appearance. The client may have dyspnea (shortness of breath)
and orthopnea (difficulty breathing when lying supine).
What is a barrel chest and what conditions are associated with it?
✓ A barrel chest is caused from hyperinflation of the lungs due to a disease process called
chronic obstructive pulmonary disease (COPD) and can also be associated with the typical
aging process.
What is funnel chest and how does it present?
✓ Funnel chest, or pectus excavatum, is when there is a marked sunken sternum and costal
cartilage. This condition usually begins at the second intercostal space.
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
